| NPI | 1730850108 |
|---|---|
| Former Name | JANEEN MCCORMICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT33606) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 20495) |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2025-07-22 |